| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $20.83 | $26.34 | |
Cigna
| Facility | $27.38 | $27.38 | $47.87 | |
Cigna
| Professional | $19.98 | $19.98 | $41.92 | |
Emblem Health
| Professional | $43.72 | $44.04 | $62.71 | |
Horizon BCBS
| Professional | $46.75 | $47.87 | $47.87 | |
United
| Professional | $19.85 | $23.89 | $47.87 |